1 Describe the effect of extremely low birth weight babies on the family and community. Consider short-term and long-term impacts, socioeconomic implications, the need for ongoing care, and comorbidi

1  Describe the effect of extremely low birth weight babies on the family and community. Consider short-term and long-term impacts, socioeconomic implications, the need for ongoing care, and comorbidities associated with prematurity. Explain how disparities relative to ethnic and cultural groups may contribute to low birth weight babies. Identify one support service within your community to assist with preterm infants and their families and explain how the service adequately addresses the needs of the community, or a population in your community. Provide the link to the resource in your post. 400 WORDS REFERENCE WITHIN 5 YEARS

2   Consider the following patient scenario:

A mother comes in with 9-month-old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weighs 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart). 

Describe the developmental markers a nurse should assess for a 9-month-old female infant. Discuss the recommendations you would give the mother. Explain why these recommendations are based on evidence-based practice.  400 WORDS REFERENCE WITHIN 5 YEARS

Expert Solution Preview

Introduction:

As a medical professor responsible for creating assignments and providing feedback to medical college students, it is important to create comprehensive answers to the questions, taking into account the latest research in the field. This assignment involves two main questions that describe the effect of extremely low birth weight babies on the family and community and the developmental markers a nurse should assess for a 9-month-old female infant.

1. Describe the effect of extremely low birth weight babies on the family and community.

The birth of an extremely low birth weight baby (ELBW) can have both short-term and long-term impacts on the family and community. Short-term impacts include the need for specialized care and monitoring in the neonatal intensive care unit (NICU), which can lead to increased stress, anxiety, and financial burdens for the family. Long-term impacts can include developmental delays, intellectual disabilities, and chronic health issues for the child, which can further impact the family’s well-being and future socioeconomic status.

Additionally, the comorbidities associated with prematurity, such as respiratory distress syndrome, intraventricular hemorrhage, and necrotizing enterocolitis, can result in increased hospitalization rate and mortality, further burdening the family and the community. Moreover, ethnic and cultural groups face disparities relative to ELBW babies, including inadequate access to prenatal care and higher rates of pregnancy complications that can contribute to low birth weight.

One support service within the community that addresses the needs of preterm infants and their families is the March of Dimes, a non-profit organization dedicated to promoting the health of moms and babies. The March of Dimes provides resources and education on preventing premature birth, helping families navigate the NICU, and supporting research on preterm birth. The organization also offers support groups and community events for families of preterm infants, helping to build a network of individuals and organizations that can advocate for preterm babies and their families.

2. Consider the following patient scenario:

A mother comes in with a 9-month-old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weighs 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart).

The developmental markers that a nurse should assess for a 9-month-old female infant include motor development, language development, and social development. Motor development includes the infant’s ability to sit without support, pull to stand, and crawl on hands and knees. Language development involves the ability to recognize and respond to familiar words, babble and vocalize, and engage in gestures such as waving and pointing. Social development includes the ability to recognize familiar faces and interact socially with caregivers.

Based on the infant’s growth parameters, recommendations for the mother may include increasing the frequency of feeding and introducing higher calorie foods, such as avocados and oatmeal. Encouraging tummy time and providing toys that promote motor development, such as push toys and balls, can also be beneficial. Assessment and monitoring of developmental milestones are necessary, along with referral to early intervention services if any delays or concerns are noted.

These recommendations are based on evidence-based practice, including the CDC growth charts, which provide a standard for assessing growth and development in infants. The recommendations also align with the American Academy of Pediatrics’ guidelines for infant nutrition and developmental surveillance, which emphasize the importance of adequate nutrition, developmental monitoring, and early intervention for optimal outcomes.

In conclusion, answering these questions involved considering the latest research and guidelines in the medical field. By providing thorough and evidence-based answers, medical college students can gain a better understanding of the effects of ELBW babies on the family and community and the developmental markers that nurses should assess for 9-month-old infants.

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